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Showing results for "guideline".
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  1. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

    psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems
    May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

  2. Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
    January 30, 2019 - Review Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. Citation Text: Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…

  3. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

    psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
    March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

  4. Using the internet to deliver education on drug safety. | PSNet

    psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
    March 23, 2011 - Study Using the internet to deliver education on drug safety. Citation Text: Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  5. Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

    psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions
    February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

  6. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

    psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
    October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

  7. The nature and occurrence of registration errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
    September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department. Citation Text: Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. …

  8. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
    March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. Citation Text: Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…

  9. The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. | PSNet

    psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care
    March 23, 2011 - Study The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. Citation Text: Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…

  10. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  11. Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient
    December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

  12. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet

    psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. Citation Text: Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…

  13. Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet

    psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
    September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

  14. Design and implementation of an ICU incident registry. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
    February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  15. Potential medication errors associated with computer prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
    May 05, 2014 - Study Potential medication errors associated with computer prescriber order entry. Citation Text: Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. …

  16. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

    psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
    July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

  17. Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

    psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
    June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

  18. Creating a just culture in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
    July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

  19. Surgical site infection prevention: a review. | PSNet

    psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
    February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  20. Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
    November 29, 2023 - Study Overview of adverse events related to invasive procedures in the intensive care unit. Citation Text: Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…
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